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,a►co OR CERTIFICATE OF LIABILITY INSURANCE DATE (M/202YYY) <br />06/242025 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER Phone: (714) 973-1436 Fax: (714) 973-0011 CONTACT ELMCO INSURANCE, INC. <br />NAME: <br />ELMCO INSURANCE, INC. PHONE (714) 973-1436 FAX No: (714) 973-0811 <br />636 E CHAPMAN AVENUE we No Ex <br />E-MAIL contact@Elmcoinsurance.com <br />ORANGE CA 92866 ADDRESS: <br />FFORDING COVERAGE NAIC # <br />INSURERS) A <br />Agency Lic#: 0509747 <br />INSURER AIX Specialty Insurance Company <br />12833 <br />INSURED <br />INSURERS INFINITY SELECT INSURANCE COMPANY <br />20260 <br />CALIFORNIA BARRICADE RENTALS INC. <br />INSURERC TRISURA SPECIALTY INSURANCE COMPANY <br />16188 <br />1550 E. SAINT GERTRUDE PLACE <br />INSURERD: STATE COMPENSATION INSURANCE FUND <br />35076 <br />SANTA ANA CA 92705 <br />SURPLUS LINES INSURANCE CC, <br />10172 <br />INSURER WESTCHESTER <br />INSURER PACIFIC INSURANCE COMPANY <br />10046 <br />COVERAGES <br />CERTIFICATE NUMBER: 79915 REVISION NUMBER:1 SUPERCEDES PREVIOUS REVISIONS <br />TO CERTIFY THAT THE POLICIES <br />OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY <br />PERIOD <br />THIS IS <br />ANY REQUIREMENT, <br />TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />INDICATED. NOTWITHSTANDING <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />TYPE OF INSURANCE <br />ADDL SUBR POLICY EFF POLICY EXP LIMITS <br />INSD WVD POLICY NUMBER MMIDD/YYYY MM/DD/YYYY <br />LTR <br />A X COMMERCIAL GENERAL LIABILITY <br />X X L13MO7430800 07/01/25 07/01/26 EACH OCCURRENCE $ <br />1,000,000 <br />DAMAGE TRENTE <br />$ <br />100,000 <br />CLAIMS -MADE I� OCCUR <br />PREM SESO(Ea occurence) <br />MED. EXP (Any one person) $ <br />EXCLUDED <br />PERSONAL & ADV INJURY $ <br />1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $ <br />2,000,000 <br />X PRO ❑ LOC <br />POLICY ❑ JECT <br />PRODUCTS - COMP/OP AGG $ <br />2,000,000 <br />EMPLOYEE BENEFITS $ <br />1,000,000 <br />OTHER: <br />B AUTOMOBILE LIABILITY <br />X X 50011184701 07/01/25 07/01/26 COMBIidurt)NED SINGLE LIMIT $ <br />(Ea accident) <br />1000000 <br />X ANY AUTO <br />BODILY INJURY (Per person) $ <br />ALL OWNED SCHEDULED <br />BODILY INJURY (Per accident) $ <br />AUTOS AUTOS <br />X NON -OWNED <br />PROPERTY DAMAGE $ <br />HIRED AUTOS <br />X AUTOS <br />(per accident) <br />X OCCUR <br />TXS000255501 07/01/25 07/01/26 EACH OCCURRENCE $ <br />5,000,000 <br />C UMBRELLA LIAB <br />X CLAIMS -MADE <br />AGGREGATE $ <br />5,000,000 <br />EXCESS LAB <br />DED I RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />D <br />X 931316425 07/01/25 07/01/26 X STATUTE ERH <br />AND EMPLOYERS' LIABILITY Y/ N <br />E.L. EACH ACCIDENT $ <br />1,000,000 <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />N/A E.L. DISEASE -EA EMPLOYEE $ <br />1,000,000 <br />(Mandatory in NH) <br />If yes, descdbe under <br />E.L. DISEASE -POLICY LIMIT $ <br />1,000,000 <br />DESCRIPTION OF OPERATIONS below <br />E POLLUTION LIABILITY <br />G73540124005 07/01/25 07/01/26 Each Pollution Condition <br />$1,000,000 <br />F PROFESSIONAL LIABILITY <br />010H077065425 07/01/25 07/01/26 Aggregate Limit <br />$2,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />SEE SUPPLEMENTAL CERTIFICATE INFORMATION Tu Tran Tu Tmn Nguyen, <br />1:`555°z0°a°Z Nguyen <br />APPROVED <br />By Tu Tran Nguyen at 12:55 pm, Jul 02, 2025 <br />CERTIFICATE HOLDER <br />CANCELLATION <br />City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Risk Management Division THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. <br />4th Floor AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92702 <br />Attention: <br />-,ORD 25 (2014/01) Certificate # 79915 Revision # 1 ©1988-2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />